Individual
DR. JOHN ARCHIBALD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
162 WYNDCLIFFE RD, SCARSDALE, NY 10583-4724
(914) 574-1153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD457144
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
208088
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
04/28/2020
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